Possible avenue for insurance coverage

[Judy Hunt]

Persons with oligodentia may also experience frequent TMJ (Temporomandibular Joint)-related headaches (caused by the missing teeth) and for this reason, their treatment plans may be covered by medical insurance. Please check your state statutes to see if the insurance coverage for treatment of TMJ disorders is the same coverage (e.g., covered by medical insurance) for treatment of other bodily joints, whether the treatment is prescribed by a physician or a dentist. Then, have someone on your child's coordinated care team (e.g., the child's primary care physician, oral surgeon, orthodontist, or prosthodontist) write a letter to the insurance company detailing the treatment plan to address the TMJ-issues, including the oligodontia. Also try to have someone at the medical insurance company assign one staff person to handle your claims since they are complex and the treatment plan is long-term. This approach may be helpful to you as it was for me. Best wishes to you!

[Patricia Lamm]

Thank you, Judy! That’s an excellent idea!

> On Jan 9, 2017, at 1:37 PM, Judy Hunt <hunt...@gmail.com> wrote:
>
> Persons with oligodentia may also experience frequent TMJ (Temporomandibular Joint)-related headaches (caused by the missing teeth) and for this reason, their treatment plans may be covered by medical insurance. Please check your state statutes to see if the insurance coverage for treatment of TMJ disorders is the same coverage (e.g., covered by medical insurance) for treatment of other bodily joints, whether the treatment is prescribed by a physician or a dentist. Then, have someone on your child's coordinated care team (e.g., the child's primary care physician, oral surgeon, orthodontist, or prosthodontist) write a letter to the insurance company detailing the treatment plan to address the TMJ-issues, including the oligodontia. Also try to have someone at the medical insurance company assign one staff person to handle your claims since they are complex and the treatment plan is long-term. This approach may be helpful to you as it was for me. Best wishes to you!
>

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